NR 547 Review Questions
1. what is the most common breathing sleep disorder: osa
2. a client communicates using short one or two word responses: alogia
3. a client presents to the office requesting refill of adderall, urine drug screennegative what
does this mean: has not taken adderall in the past 3 days
4. which statement is true regarding enuresis: episodes awaken clients after adeep sleep
5. all the clients below have a family history of schizophrenia. which client would most
likely to experience symptomsq: 19 year old who just lost his mother
6. what disorder commonly occurs secondary to agoraphobia: depressivedisorder and
substance use disorders
they had specific phobias and avoidant personality disorder but these have their owndistinct dx
and are not secondary conditions.
7. which factor would rule out schizophreniform disorder: the client has expe-rienced
symptoms intermittently for 18 months
dsm criteria psychosis sx is greater than 1 month but less than 6.no mania or depression sx
8. the psychiatric mental health nurse pracitioner is interviewing a 27 y/oclient with reports
of anxiety symptoms how long must they be for dx of GAD: 6 months
9. a client presents with symptoms of fatigue which lab test indicates apossible medical clue
of symptoms: tsh of 7.1
10. client taking modafinil what is the most likely reason: narcolepsy
11. the pmhnp is treating a client with anxiety, which social determinant of health can
exacerbate her symptoms: the client is a single parent who just losther job and is being evicted
from her apartment
12. why is ruling out medical etiology of symptoms important when develop-ing a
psychiatric differential diagnosis: because medical conditions can have complications which
result in psychotic symptoms
13. client has excessive daytime sleepiness. falls asleep without warning whilelaughing or
driving. prior to prescribing medication what diagnostic test canbe performed to confirm: CSF
analysis to dx narcolepsy bc client experiencing cataplexy hypocretin test is via lumbar
puncture
14. which medication should the patient take in the morning instead of at night, taking at night
and having difficulty sleeping: topiramate take at night to reduceday time sedation
fluoxetine is the answer it can have activating side effects which can cause insomnia take in am
, to avoid or If noticed.
15. a 40 year old client presents after starting a new job. one of the main functions of his role
is to present new products to a large group of clients. he expresses that he feels terrified of
public speaking and during his first presentation has a racing heart and dry mouth. which
medication can be takenas needed?: propranolol
16. which diagnosis presents with minimal spontaneous sexual thinking or minimal desire for
sex ahead of sexual experiences?: female sexual interest andarousal disorder
characterized by a lack of significantly reduced sexual interest or arousal.
17. which symptom is most likely to be present in a client with catatonia: pos-turing
catatonia is a neuropsychiatric syndrome characterized by abnormalities in motor behavior,
movement, and responsiveness. posturing is a hallmark symptom of cata-tonia. it involves
assuming and maintaining bizarre physical postures for extended periods.
18. a client presents with auditory hallucinations. which medication has an adverse effects
profile that includes this as a primary symptom: amiodaroneprednisone is listed in review as
answer however
amiodarone crosses the blood brain barrier and affect the central nervous system this can lead
to auditory hallucinations, visual hallucinations, confusion and delirium
. this was also listen in a module question as an interaction with other medicationsleading to
increased positive symptoms due to its affect on psychotic medications.
19. a 32 year old presents to the psychiatric mental health nurse practitionerfollowing four
brief episodes of intense anxiety occurring at home and work of the las two months. he reports
the episodes "come out of the blue". duringthe episodes he experiences dyspnea, heart
palpitations, chest pain, tinglingin his lips and fingers and sweating. his symptoms are so
severe he fears heis going to die. his primary care physician has ruled out medical cause: panic
disorder "reports comes out of the blue"
20. which health indicators are important to monitor for clients who are onantipsychotic
medication: BMI, fasting glucose, lipid profile
due to metabolic risk is highest which is weight gain, elevated blood glucose,dyslipidemia
21. a client presents to the clinic with fatigue, anhedonia, and hyper som- nolence. which
action is the psychiatric mental health nurse practitioners priority?: order CBC, thyroid
stimulation hormone and toxicology screen
22. as many as two thirds of patients with what disorder meet the diagnosticcriteria for
obsessive compulsive disorder: Tourette disorder is listed
body dysmorphic disorder is what is supported on aimeet diagnostic criteria for ocd
1. what is the most common breathing sleep disorder: osa
2. a client communicates using short one or two word responses: alogia
3. a client presents to the office requesting refill of adderall, urine drug screennegative what
does this mean: has not taken adderall in the past 3 days
4. which statement is true regarding enuresis: episodes awaken clients after adeep sleep
5. all the clients below have a family history of schizophrenia. which client would most
likely to experience symptomsq: 19 year old who just lost his mother
6. what disorder commonly occurs secondary to agoraphobia: depressivedisorder and
substance use disorders
they had specific phobias and avoidant personality disorder but these have their owndistinct dx
and are not secondary conditions.
7. which factor would rule out schizophreniform disorder: the client has expe-rienced
symptoms intermittently for 18 months
dsm criteria psychosis sx is greater than 1 month but less than 6.no mania or depression sx
8. the psychiatric mental health nurse pracitioner is interviewing a 27 y/oclient with reports
of anxiety symptoms how long must they be for dx of GAD: 6 months
9. a client presents with symptoms of fatigue which lab test indicates apossible medical clue
of symptoms: tsh of 7.1
10. client taking modafinil what is the most likely reason: narcolepsy
11. the pmhnp is treating a client with anxiety, which social determinant of health can
exacerbate her symptoms: the client is a single parent who just losther job and is being evicted
from her apartment
12. why is ruling out medical etiology of symptoms important when develop-ing a
psychiatric differential diagnosis: because medical conditions can have complications which
result in psychotic symptoms
13. client has excessive daytime sleepiness. falls asleep without warning whilelaughing or
driving. prior to prescribing medication what diagnostic test canbe performed to confirm: CSF
analysis to dx narcolepsy bc client experiencing cataplexy hypocretin test is via lumbar
puncture
14. which medication should the patient take in the morning instead of at night, taking at night
and having difficulty sleeping: topiramate take at night to reduceday time sedation
fluoxetine is the answer it can have activating side effects which can cause insomnia take in am
, to avoid or If noticed.
15. a 40 year old client presents after starting a new job. one of the main functions of his role
is to present new products to a large group of clients. he expresses that he feels terrified of
public speaking and during his first presentation has a racing heart and dry mouth. which
medication can be takenas needed?: propranolol
16. which diagnosis presents with minimal spontaneous sexual thinking or minimal desire for
sex ahead of sexual experiences?: female sexual interest andarousal disorder
characterized by a lack of significantly reduced sexual interest or arousal.
17. which symptom is most likely to be present in a client with catatonia: pos-turing
catatonia is a neuropsychiatric syndrome characterized by abnormalities in motor behavior,
movement, and responsiveness. posturing is a hallmark symptom of cata-tonia. it involves
assuming and maintaining bizarre physical postures for extended periods.
18. a client presents with auditory hallucinations. which medication has an adverse effects
profile that includes this as a primary symptom: amiodaroneprednisone is listed in review as
answer however
amiodarone crosses the blood brain barrier and affect the central nervous system this can lead
to auditory hallucinations, visual hallucinations, confusion and delirium
. this was also listen in a module question as an interaction with other medicationsleading to
increased positive symptoms due to its affect on psychotic medications.
19. a 32 year old presents to the psychiatric mental health nurse practitionerfollowing four
brief episodes of intense anxiety occurring at home and work of the las two months. he reports
the episodes "come out of the blue". duringthe episodes he experiences dyspnea, heart
palpitations, chest pain, tinglingin his lips and fingers and sweating. his symptoms are so
severe he fears heis going to die. his primary care physician has ruled out medical cause: panic
disorder "reports comes out of the blue"
20. which health indicators are important to monitor for clients who are onantipsychotic
medication: BMI, fasting glucose, lipid profile
due to metabolic risk is highest which is weight gain, elevated blood glucose,dyslipidemia
21. a client presents to the clinic with fatigue, anhedonia, and hyper som- nolence. which
action is the psychiatric mental health nurse practitioners priority?: order CBC, thyroid
stimulation hormone and toxicology screen
22. as many as two thirds of patients with what disorder meet the diagnosticcriteria for
obsessive compulsive disorder: Tourette disorder is listed
body dysmorphic disorder is what is supported on aimeet diagnostic criteria for ocd
